20100213 Permit Pkg 11102010City of Yelm
Community Development Department
Building Division
Phone: (360)458-8407
Fax: (360)458-3144
Applicant:
Name: J. BRANDON SAWYER
Address: 10011 COCHRANE AVE SE
YELM WA 98597
Phone: 360-701-7147
Property Information:
Site Address: 10011 COCHRANE AVE SE Owner: J. BRANDON SAWYER
Assessor Parcel No.: 56510001700 Subdivision: JOHN'S MEADOWS Lot: 17
Contractor Information:
Name: REAGAN SAWYER
Address:
10011 COCHRANE AVE SE
YELM WA 98597
Contractor License No.:
Project Information:
Project: RESIDENTIAL ADDITION
Description of Work: COVERED PATIO
Sq. Ft. per floor: First
Second
Third
Garage
Basement
Fees:
Item
BUILDING
Contractor
SAWYER
TOTAL FEES:
Applicant's Affidavit:
I certify that I have read and examined the information contained within the application and know the same
to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of
Yelm regulations including those governing zoning and land subdivision, and in addition, all covenants,
easements and restrictions o If applying as a ctor, I further certify that I am currently
registered in the Stat~~ringtoa-
Permit No.: 20100213
Issue Date: 11/10/2010
(Work must be completed within 180 days)
Phone:
Expires: 0/00/0000
Heat Type (Electric, Gas, Other):
Fees
$ 114.26
$ 114.26
# Sets of Prints:
Final Inspection:
Date:
By:
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CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
Project Address: /G~// Loc h,~nr lal,~~ Parcel #: ~~ ~ ~ ` '- ~ r l 7 ~' ~
Subdivision: ,fG.~ »S /~ a,~i~:~ ~ Lot #: Plan #: Zoning: /~ ' ~~
New Construction ~ Re-Model / Re-Roof /Addition ~ Home Occupation Sign
Plumbing Mechanical Mobile //Manufactured Home Placement ~ Other
Project Description/Scope of Work: ~~ti~c+ /~Ar`!'e
Project Value: ~/S ~-~~
Building Area (sq. ft) 1s` Floor 2nd Floor Garage Deck
Basement Carport Patio_~~
# Bedrooms- # Bathrooms- Heating: GAS/OTHER or ELECTRIC (Circle One)
Are there any environmentally sensitive areas located on the parcel?
If yes, a completed environmental checklist must accompany permit application.
BUILDING OWNER NAME ~l 1Siz~r~~,.-a ,S,-rc,~/~'
ADDRESS ion// /„~li/AnG ~.~e ft; EMAIL 1.5ar.~~/~,6/u4,~a.•~,~/.;.r,~%l
CITY
ARCHITECT/ENGINEER LICENSE #
GENERAL CONTRACTOR Dwis/~i TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE #
PLUMBING CONTRACTOR TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTPACTOR S LICENSE /t LXP DATE CITY LICENSE #~
MECHANICAL CONTRACTOR TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE #
Copy of mitigation agreement with Yelm Community Schools, if applicable.
•
hereby certify that the above information ' end that the construction on, and the occupancy and the use of the
above described grope ill be in ac dance wi he laws, rules and regulations of the State of Washington and the
City of Yelm.
i/ /!~
icant' a ure Da e
Owner on r s gent /Contractor's Agent (Please circle one.)
All permits erable and will expire if work authorized by such permit is not begun
within 180 days of issuance, or if work is suspended or abandoned for a period of 180 days
105 Yelm Avenue N
Yelm, WA 98597
www.ci.yelm.wa.us
h01/ 0 ' 2~i0
458-3835
458-3144 FAX
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